Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jodie Lynn Gonzalez, LPC, LISAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215534946

MS. Jodie Lynn Gonzalez, LPC, LISAC is a Mental Health Counselor in Buckeye, Arizona. Qualified in 2016, 10 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2020
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

20430 W Carla Vis
Buckeye, AZ 85326-4698
Phone: (602) 505-3797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13925 W Meeker Blvd Ste 9, Sun City West, AZ 85375-4431 — (480) 780-3030

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-19626 (AZ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LISAC-155232 (AZ)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC-19626 (AZ)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1215534946
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , LISAC
Sole proprietorYes
NPI enumeratedOctober 6, 2020
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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